Provider Demographics
NPI:1841262474
Name:HUBBARD, DONALD G (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:G
Last Name:HUBBARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7306 SW 34TH AVE STE 1
Mailing Address - Street 2:PMB 352
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1440
Mailing Address - Country:US
Mailing Address - Phone:806-355-5093
Mailing Address - Fax:806-355-5822
Practice Address - Street 1:3501 S SONCY RD
Practice Address - Street 2:SUITE 128
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-6407
Practice Address - Country:US
Practice Address - Phone:806-355-5093
Practice Address - Fax:806-355-5822
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2015-01-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM2232207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D9966Medicare ID - Type Unspecified
TXI42203Medicare UPIN